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选区激光熔化钛合金用于牙龈组件:表面状况对成纤维细胞行为的影响。

Selective Laser Melted Titanium Alloy for Transgingival Components: Influence of Surface Condition on Fibroblast Cell Behavior.

机构信息

URB2I, Université de Paris, Montrouge, France.

Université Sorbonne Paris Nord, Bobigny, France.

出版信息

J Prosthodont. 2022 Jan;31(1):50-58. doi: 10.1111/jopr.13347. Epub 2021 Mar 3.

Abstract

PURPOSE

To mechanically characterize and assess the biological properties of Ti6Al4V surfaces obtained by Selective Laser Melting in order to determine whether this process is conceivable for production of implant-supported prostheses and particularly trans-gingival components. As-built and polished surfaces were studied in comparison with components obtained by computer numerical control machining technology in order to consider whether the properties are in the same range as the conventional method currently used.

MATERIALS AND METHODS

Cylindrical specimens of Ti6Al4V (n = 6) were built with Selective Laser Melting for the characterization of mechanical properties according to ISO 22674 and discs (n = 12) were fabricated in the same conditions for cytotoxicity evaluation. Discs (n = 12) of Ti6Al4V were also obtained by computer numerical control machining as control. Half of the number of discs (n = 6) from each process were polished, to simulate the laboratory protocol for polishing of transmucosal components and half of the discs remained unaltered (as-built). Surface roughness measurements of disc specimens (as-built and polished) were compared with computer numerical control milling specimens (as-built and polished). Proliferation of human gingival fibroblasts on Ti6Al4V surfaces was also assessed for each condition. Viability and cell morphology were then evaluated qualitatively. Ra and Sa data were compared using Student's t-test (α = 0.05) and metabolic activity data were compared using Kruskal-Wallis statistical test (α = 0.05).

RESULTS

Selective Laser Melting specimens showed elongation at break greater than 2% and 0.2% yield strength better than 500MPa which complied with ISO 22674 standards. Although Selective Laser Melting samples displayed significantly increased roughness on as-built surfaces compared to computer numerically controlled milling samples (p < 0.05), no statistically significant difference was observed after mechanical polishing (p = 0.279). Regarding metabolic activity, no statistical difference was observed between groups at day 3 (p > 0.05) and fibroblasts showed a viability higher than 97% on all discs. Cell shapes on polished samples suggested moderate adhesion compared to unpolished samples.

CONCLUSION

With the manufacturing parameters selected in this study, Selective Laser Melting of Ti6Al4V appeared to be compatible with a prosthetic application type 4 according to ISO 22674. Surfaces obtained, followed by recommended postprocessing provided components with equivalent biological properties compared to computer numerical control machining technology.

摘要

目的

通过选择性激光熔化来机械地描述和评估 Ti6Al4V 表面的生物学特性,以确定该工艺是否可用于生产种植体支持的修复体,特别是跨牙龈部件。对增材制造和铣削加工的表面进行了研究,以确定其性能是否与目前使用的常规方法相当。

材料和方法

用选择性激光熔化技术制备 Ti6Al4V 圆柱形试件(n=6),用于根据 ISO 22674 进行机械性能表征,并制备相同条件下的 Ti6Al4V 圆盘(n=12)用于细胞毒性评估。同样条件下还制备了 Ti6Al4V 数控加工的对照圆盘(n=12)。每组一半的圆盘(n=6)进行抛光,以模拟跨黏膜部件的实验室抛光方案,另一半保持未处理(增材制造)。对圆盘试件(增材制造和抛光)的表面粗糙度进行测量,并与数控铣削试件(增材制造和抛光)进行比较。评估了每种条件下人类牙龈成纤维细胞在 Ti6Al4V 表面的增殖情况。然后定性评估细胞活力和细胞形态。使用学生 t 检验(α=0.05)比较 Ra 和 Sa 数据,使用 Kruskal-Wallis 统计检验(α=0.05)比较代谢活性数据。

结果

根据 ISO 22674 标准,选择性激光熔化试样的断裂伸长率大于 2%,屈服强度为 0.2%,优于 500MPa。尽管选择性激光熔化样品的表面粗糙度在增材制造表面明显高于数控铣削样品(p<0.05),但经机械抛光后无统计学差异(p=0.279)。关于代谢活性,第 3 天各组间无统计学差异(p>0.05),所有圆盘上的成纤维细胞活力均高于 97%。与未抛光样品相比,抛光样品的细胞形态表明中度黏附。

结论

根据本研究选择的制造参数,Ti6Al4V 的选择性激光熔化似乎符合 ISO 22674 规定的 4 型修复体应用类型。经过推荐的后处理,获得的表面与数控加工技术相比,具有相当的生物学性能。

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